Luis J. Lopez-Benitez, MD

If it has been 12 weeks after the hysterectomy there shouldn't be a problem at all.  The area treated by the Geneveve is the outer third of the vagina.  The innermost area of the vagina (where the cervix was and now there are stitches) is not treated or even touched while doing this procedure.

Cordially,

Luis J. Lopez-Benitez, MD, FACOG

Gynecologist, Las Vegas, NV

My recommendation would be not to do a Viveve treatment in your case.  You should return to the physician that did the TVT sling for reevaluation and look for alternatives to solve the leakage.  Patients that require a TVT usually have severe urinary stress incontinence.  Viveve treats mild to moderate cases of urinary incontinence and may not provide the results that you are looking for.  It could improve the leakage, but there is a high probability that it may not fix the problem in your specific situation.

Cordially,

Luis J. Lopez-Benitez, MD, FACOG

Gynecologist, Las Vegas, NV

Vaginoplasty is the only way to to tighten the vaginal canal and have the effects last for several years.  Laser and radiofrequency treatments (like Femilift and Viveve, respectively) will have tightening effects that last approximately one year.  This is also true for other types of non-surgical approaches.

Cordially,

Luis J. Lopez-Benitez, MD, FACOG

Gynecologist, Las Vegas, NV

There shouldn't be any problem by taking Percocet or any narcotics after the O-Shot.  We prefer that the patient avoids any NSAIDs close to the administration of the O-Shot to prevent a decrease in the effectiveness of the treatment.  Narcotics (like Percocet) don't have NSAIDs.

Cordially,

Luis J. Lopez-Benitez, MD, FACOG

Gynecologist, Las Vegas, NV

Geneveve by Viveve is a radiofrequency treatment in a single session and it can take up to 90 days to see the full tightening effects.  However, patients will start seeing the benefits before the 90 days.  This varies per patient.  Some patients can notice results as early as 2 weeks after the treatment.  

Thermiva is also a radiofrequency treatment, but it is given in 3 sessions, 4 weeks apart.  Timing for the full effects is also around 90 days, but initial effects may take a little bit longer.  Geneveve, however, has a patented cryogen cooling technology that helps protect the vaginal mucosa during the procedure, which Thermiva doesn't have.  Due to this, Geneveve can heat the tissue to a higher temperature, which allows it to be a single session treatment, instead of three.

Cordially,

Luis J. Lopez-Benitez, MD, FACOG

Gynecologist, Las Vegas, NV